Active NPI
Aisha Laniece Olivacce, CNM
- Midwife
- Brooklyn, NY
National Provider Identifier
1891254397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F001916-1
- Practice address
- 974 Bergen St Apt B
Brooklyn, NY 11216-2904 - Phone
- (646) 932-2633
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | F001916-1 | NY | Primary |
Addresses
Primary practice location
974 Bergen St Apt B
Brooklyn, NY 11216-2904
Mailing address
974 Bergen St Apt B
Brooklyn, NY 11216-2904
Phone (646) 932-2633
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alj223@nyu.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F001916-1 | NY | MD | Midwife |
| 001916 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
159 E 53rd St
Fl 4
New York, NY 10022
Phone (646) 754-1561
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- aolivacce310096@nyumc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1891254397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 BERGEN ST APT B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162904",
"telephone_number": "646-932-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 BERGEN ST APT B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162904",
"telephone_number": "646-932-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVACCE",
"first_name": "AISHA",
"middle_name": "LANIECE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F001916-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alj223@nyu.edu",
"affiliation": "N",
"address_1": "974 Bergen St Apt B",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112162904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.